Individual provider Active NPI

Cristhy Grace Tagarda Olegario, DPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1659082030
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308326 Issued in CA
Practice address
4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000
Phone
(818) 894-2273
Fax
(818) 357-2505
NPI assigned
Dec 7, 2022
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045782 NY
Physical Therapist 225100000X 308326 CA Primary
Physical Therapist 225100000X 29871 MD

Addresses

Primary practice location

4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000

Mailing address

5203 Lakewood Blvd Ste B
Lakewood, CA 90712-2438
Phone (562) 633-2273

Other practice location 1

5203 Lakewood Blvd Ste B
Lakewood, CA 90712-2438
Phone (562) 633-2273

Other practice location 2

17122 Beach Blvd Ste 104
Huntington Beach, CA 92647-5992
Phone (714) 964-4448

Other practice location 3

17232 Red Hill Ave
Irvine, CA 92614-5628
Phone (949) 752-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000010 DC Practitioner - Physical Therapist in Private Practice 3779924535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6320 Canoga Ave
FL 15
Woodland Hills, CA 91367-2593

83 Giralda Walk
Long Beach, CA 90803-4127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045782NYMDDentist
308326CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agile Occupational Medicine, PC CurrentSince Sep 14, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
California Physical Therapy Management Inc Physical Therapist PastSince Dec 1, 2022 Accepting new patients
Agile Occupational Medicine, PC PastSince Jul 28, 2025 Accepting new patients
Gardena Physical Therapy Inc Physical Therapist PastSince Dec 1, 2022 Accepting new patients

Locations

5203 Lakewood Blvd
Ste B
Lakewood, CA 90712
Phone (562) 633-2273

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1659082030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 LAKEWOOD BLVD STE B",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122438",
            "telephone_number": "562-633-2273",
            "fax_number": "562-633-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 700",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072000",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5203 Lakewood Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907122438",
            "country_code": "US",
            "telephone_number": "562-633-2273",
            "fax_number": "562-633-1796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17122 Beach Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926475992",
            "country_code": "US",
            "telephone_number": "714-964-4448",
            "fax_number": "714-963-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17232 Red Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145628",
            "country_code": "US",
            "telephone_number": "949-752-1111",
            "fax_number": "949-752-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLEGARIO",
        "first_name": "CRISTHY GRACE",
        "middle_name": "TAGARDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045782",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308326",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.